| NPI | 1447469770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOLINE BERGSTROM Hs Director 907-452-8251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: AK 246135) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2024-07-24 |